| NPI | 1578650289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 13465) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 16912) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2017-03-02 |